Child's Name *
Child's School * Bayton C of E Primary SchoolBewdley Primary SchoolFar Forest Lea Memorial C of E PrimarySt. Anne’s C of E PrimaryUpper Arley C of E Primary
Parents/Carer's Name *
Parents/Carer's Telephone Contact *
Parents/Carer's Email Contact *
Your Name
Your Email Address
Your Telephone Number
Please describe your act or group
Your Telephone Number (optional)
Message
Message (Optional)
Cause/Organisation Name
Organisation TypeCharityClubNon-ProfitSocietyOther
Organisation Description
Shop Name
Shop Address
Your Chosen Movie
Additional Notes (Optional)
One of our team will be in touch as soon as possible.We look forward to seeing you at this year’s Bewdley Carnival
Pitch Size3x34x4Special RequirementCause/Charity Pitch
Additional Notes / Requirements (Optional)